Understanding Your Colposcopy Results
During the process of colposcopy, a
biopsy is usually obtained and sent to a pathologist. This person views the cell samples
microscopically and sends a diagnosis back to the doctor. The results are usually: +HPV, CIN I, CIN II
or CIN III. CIN stands for Cervical
Intraepithelial Neoplasia which means new growth within the surface cells of
the cervix.
- +HPV:
This result indicates that the presence of HPV was noted but there had been
no significant change in the cervical cells.
- CIN I:
Mild, changes are present on the most exterior surface of the cervix. This type of cervical change will often heal on it’s own without the
need for further treatment.
However, it is necessary to monitor the health of the cervix with
more frequent pap smears about every 4 to 6 months.
- CIN
II: Moderate, changes are present in cells deeper in the cervical tissue. This type of cervical change needs treatment and the woman
should move on to a LEEP procedure.
- CIN
III: Severe, cellular changes are noted almost through the depth of the cervical tissue. This type of cervical change is likely to progress into
cancer without treatment and a LEEP procedure should follow.
- Cancer: The entire length/depth of the cervix shows cellular changes.
The treatment consists of a hysterectomy, removal of the cervix and
uterus.
It is important to remember that
cervical cancer is rarely found in women that are vigilant about having a
yearly exam and pap. It is also rare for
abnormal cervical cells to progress into cancer when it is properly treated. It is very important to keep all your follow-up visits even after treatment.
By Cyndi Ayoub, WHNP posted 5/1/09
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